Borderline: the most important questions and answers

Here are questions and answers about Borderline Personality Disorder.

The individual chapters are continuously supplemented and expanded.

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Do you have to live forever with borderline?

People with borderline need to be prepared to come to terms with their personality disorder in their lives. Because just as everyone has their own personality, their special expression is also part of what makes a person individual.

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Is the borderline disorder curable?

No, Borderline is not curable. If the personality disorder is determined after careful examination, sufferers must find a way how they can master their lives with it. But there are ways and means.

Read more: Is the borderline disorder recoverable?

   

Why is there a special form of DBT for adolescent borderliners?

The dialectic-behavioral therapy in borderline differs between adolescents and adults primarily in terms of the duration of therapy. In young people with borderline therapy is designed for a shorter period. The individual therapy usually takes half a year; the participation in Skills groups is planned for 16 weeks.

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Dialectical Behavioral Therapy (DBT): What is a Therapy Contract?

A therapy contract within the framework of the DBT of borderline personality disorder is closed by the affected "borderliner" and the treating therapist alike. Both commit themselves to certain rules. That is why it is important to be able to successfully master the goals set over the long period of therapy.

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DBT: What happens in the individual therapy sessions?

The dialectic-behavioral therapy (DBT) of borderline personality disorder is divided into individual and group therapies. While the group is about practicing social communication and interaction, the individual's behavior is scrutinized.

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Borderline: How long does dialectic-behavioral therapy take?

A dialectic-behavioral therapy (DBT) in borderline disorder is long-term and extends over a period of 1 to 3 years. Because the right way to deal with a personality disorder does not succeed overnight.

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Borderline: Can I call my DBT therapist?

Basically, the possibility of telephone contact with the concept of Dialectic Behavioral Therapy (DBT) in borderline personality disorder is included. In times of crisis, sufferers should be able to reach their therapist by phone and ask for advice.

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Dialectical Behavioral Therapy: Where Can I Find a Therapist?

It's not that easy. Unfortunately, in Germany, especially in the outpatient area, there is no nationwide supply of sufficiently qualified psychotherapists. Because the treatment of borderline disorder in the context of dialectical-behavioral therapy requires a special training.

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Dialectical Behavioral Therapy (DBT): outpatient or inpatient?

Basically, the DBT is tailored to the outpatient context and should take place under as "normal" conditions as possible. After all, it's all about learning to embrace everyday life with borderline. Sometimes, however, a clinical stay can not be avoided.

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Borderline: What is Dialectic Behavioral Therapy (DBT)?

DBT is the treatment of choice in the treatment of Borderline Disorder and has repeatedly proven to be superior to other therapies. It contains a comprehensive therapeutic concept that is designed for several years. The goal is to stabilize those affected in everyday life and to strengthen them in the behavioral control as well as in their emotional experience.

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Is treatment for borderline people advisable?

Absolutely! People with Borderline Personality Disorder often have difficulties, especially in the social field, and are constantly pushing their emotional limits. Psychotherapeutic support can support those affected and strengthen their self-confidence.

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Borderline: How do I find a good therapist?

It is often not that easy to find a competent therapist and get the right treatment. But this is crucial for the success of the therapy.

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Does a borderline disorder always have to be treated inpatient?

No, people with borderline disorder can often be treated on an outpatient basis. It also depends on how difficult the current problems and complaints weigh.

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Borderline: How important is a good relationship with the therapist?

A sustainable relationship with the therapist is important in any psychotherapy if it is to succeed. After all, how else should patients trustfully open themselves and reveal so much of themselves?

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Is the borderline disorder always difficult to treat?

Personality disorders are generally considered to be difficult to treat and high demands on therapists. On the one hand, this is due to the complex disease itself. In addition, other comorbidities often make treatment even more difficult.

Read more: Is Borderline Disruption Always Difficult to Treat?

   

Borderline: What are skills?

Skills are skills that basically every person in everyday life automatically applies without thinking about it. For "Borderliner" they are often not so obvious and need to be re-learned.

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How is a borderline personality disorder treated?

The treatment of personality disorders requires a long breath from everyone involved. Especially for Borderline, however, there are good approaches to meet the specific problems and needs of those affected.

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Borderline: Could a separation trigger a suicide attempt?

Since people with borderline are very afraid of being abandoned, the fear of attempting suicide after separation is not that farfetched. It requires sensitivity in dealing with the person concerned to assess the situation correctly, but also the courage to make the necessary decisions.

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Can borderline create a long-term relationship at all?

For people with borderline disorder, relationships can be particularly problematic. Because on the one hand, there is often an oversized desire for leaning and closeness. On the other hand, many problems make social contacts and maintaining relationships difficult.

Read more: Can a long-term relationship even succeed with Borderline?

   

Borderline and drugs - a compelling connection?

No, drug addiction and substance abuse are very common in people with personality disorder. Addictions are considered the most important comorbid disorder and need their own treatment, which is usually in the foreground first.

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What is meant by dissociation?

In dissociative disorders, the unity of mental and physical functions, which our brain usually integrates and stores naturally, is lost. There is a split off (Latin dissociare "divide, divorce") of contents of consciousness.

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Suicidality in borderline: Are there any warning signals?

The risk of suicidality is significantly increased in people with borderline disorder. This is partly due to the personality disorder itself, but also to additional depressive moods that afflict sufferers over and over again.

Read more: Borderline suicidal behavior: Are there any warning signals?

   

Are threats of suicide to be taken seriously by borderliners?

Yes! The expression of suicidal thoughts is to be taken seriously and not only in the case of a borderline personality. But that does not mean that you should panic about the topic of suicide every time. Because not every statement must be associated with acute suicidal intentions.

Read more: Are Serious Threats to Suicide at Borderliners?

   

Do Borderliner purposely behave aggressively and hurtfully?

No, certainly not. In people with Borderline Disorder, the mood can change very quickly without being able to influence it. This is often not easy for the environment, but also for those affected.

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Do people with borderline disorder experience less pain?

Yes, at least studies with heat stimuli suggest. And it would also be a good explanation that sufferers hurt themselves. This may not really reassure relatives and friends, but in fact, borderline sufferers perceive pain differently than healthy people.

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Why and how do people with borderline disorder even hurt themselves?

It is often difficult for mentally healthy people to understand that people with Borderline Disorder injure themselves and, for example, use a knife to scratch their skin. Those affected do not do that to attract attention or to pity. Rather, they are looking for a way to reduce their massive inner tension.

Read more: Why and how do people with borderline disorders even violate themselves?

   

Diagnosis and Treatment of a Borderline Disorder: Can the Family Doctor Do It?

The family doctor is often the first contact person. Therefore, he plays an essential role in the mediation and transmission of his patients. However, diagnosis and treatment of borderline disorders are then in the hands of specialists and psychologists.

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What are the symptoms of a borderline disorder?

The symptoms of personality disorder are extremely colorful and varied. Abnormalities are in the area of ​​regulation of feelings, identity and relationships with others. The transitions from still "normal" and tolerable to pathological personality traits are fluent.

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Are parents or relatives responsible for their child's borderline disorder?

No, you can not say that on a flat rate. Many parents wonder to what extent they could be responsible for causing their child's illness. Or they fear to contribute to their child's illness not improving. Here helps a differentiated view of the background of a personality disorder.

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Is it true that people with borderline disorder often have other illnesses?

Yes, people with personality disorder often have other illnesses and thus several diagnoses. Depression, substance abuse and dependency, post-traumatic stress disorder, anxiety and panic disorders as well as eating disorders and attention deficit hyperactivity disorder (ADHD) are very often associated with borderline.

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What is borderline?

Borderline refers to a mental illness and is one of the so-called emotionally unstable personality disorders. In the foreground are pronounced impulsivity and emotional instability. Mood swings and a fragile self-image are typical. Interpersonal relationships are therefore usually extremely difficult.

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What are the causes of borderline disorder?

The causes of the disease are not clear for sure. Presumably, a blend of genetic factors and life experiences comes into play when a borderline personality emerges. As with other psychiatric illnesses, the development can be traced in a bio-psycho-social model.

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Is the borderline disorder an organic disease?

That's not easy to answer. Although changes were found in the brain, as is the case with many other mental and psychiatric illnesses. However, there is always the question of the hen and the egg: what came first?

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Is borderline hereditary or does it have a familial predisposition?

If a parent suffers from borderline, it does not automatically mean that you suffer from the disorder itself. So far, no direct inheritance has been proven. Even a certain borderline gene does not exist.

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